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General NPI Number Information
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NPI Number | 1700935509
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Entity Type | Organization
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Legal Business Name | DUKE FACILITIES, INC.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 2661 OTTO DR
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City | STOCKTON
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State | CA
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Zip | 95209-1111
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Country | US
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Telephone | 209-951-9776
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 W ROBINHOOD DR STE 2C
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City | STOCKTON
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State | CA
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Zip | 95207-5630
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Country | US
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Telephone |
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Fax | 209-474-9260
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Authorized Official
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Title or Position | LICENSEE PRESIDENT
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Name | MRS. ANITA BETH DUKE
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Credential | R.N.P.
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Telephone | 209-969-1576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 55G165
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License Number State | CA
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